my income spouse's income
Earnings
Investment Income
Interest from savings
Interest from other accounts
Dividends
Royalties
Rental income
(gross income less cash expenses.
Attach accounting schedule.)
Other Income
Business profits
Pensions
Trusts
From retirement accounts (IRA, KEOGH)
Social Security
Disability & unemployment
Spousal Support
Child Support
Welfare
Contributions from live-in mates
Other:
_________________ ________________
TOTAL GROSS INCOME
_________________ ________________
TOTAL DEDUCTIONS
_________________ ________________
NET SPENDABLE INCOME
(Gross less deductions)
FIXED EXPENSES
past joint my future spouse's future
expenses expenses expenses
1. Household
______________ _____________ _____________
Sub total
2. Taxes
______________ _____________ _____________
Sub total
3. Insurance
______________ _____________ _____________
Sub total
4. Payments on debts
______________ _____________ _____________
Sub total
5. Education for self & kids
______________ _____________ _____________
Sub total
6. Transportation
______________ _____________ _____________
Sub total
7. Personal allowance
______________ _____________ _____________
Sub total
8. Memberships
______________ _____________ _____________
Sub total
TOTAL FIXED EXPENSES
FLEXIBLE EXPENSES
9. Food
Groceries
Meals out (includes school lunches)
______________ _____________ _____________
Sub total
10. Household expenses
______________ _____________ _____________
Sub total
11. Clothing
______________ _____________ _____________
Sub total
12. Transportation
______________ _____________ _____________
Sub total
13. Health (not covered by insurance)
______________ _____________ _____________
Sub total
14. Personal
______________ _____________ _____________
Sub total
15. Gifts (beyond the Christmas/Chanukkah funds, above)
______________ _____________ _____________
Sub total
16. Contributions
______________ _____________ _____________
Sub total
TOTAL FLEX. EXP.